NPI | 1982050753 |
---|---|
Former Name | RHONDA CUPAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.025452) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OH RN.311906) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2024-10-11 |